The Gerontologist, Vol 35, Issue 2 186-195, Copyright © 1995 by The Gerontological Society of America

ARTICLES

The effect of channeling on home care utilization and satisfaction with care

DJ Rabiner, E Mutran and SC Stearns
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill 29599-7590, USA.

This study examined the relationship between participation in two home and community-based long-term care case management interventions (collectively known as the Channeling demonstration), use of formal in- home care, and satisfaction with care. Maximum likelihood estimation techniques were used to analyze the National Long-Term Care Demonstration data set. It was hypothesized that participation in the two Channeling interventions would indirectly (rather than directly) enhance satisfaction by operating through the increased use of formal in-home care. However, both Channeling models were found to have favorable direct and indirect effects on patient satisfaction.

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